HomeMy WebLinkAbout192226 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364657 Page 1 of 1
ONE CIVIC SQUARE JESSICA RICHARDS CHECK AMOUNT: $44.00
a CARMEL, INDIANA 46032 1832 N GLENDORA DR
INDPLS IN 46214 CHECK NUMBER: 192226
CHECK DATE: 11/2312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 44.00 TRAVEL FEES EXPENSE
PKESCFISED BY SUITE BOARD OF ACCOUNTS GENVIAL FORM I10. 1 0111 "53
MILEAGE CLA�TM� C
(GOVERNMENTAL UMT l✓ J
ON ACCOUNT OF APPROPRIATION N0. FOR
[OFFICE, BOARD, DEPARTME" OR INSTITUTION)
FROM TO T SPEEDOMETER AUTO MILEAGE
DATE HEADING
POINT POINT START FINISH TRAVELED OF BUSINESS TRAAVELED r
PER MILE
rt D
D D
t3 IMO`R
1 f t> 3T
a!
l 2 C
O ak nn eSh_
o Y
If 1 3
11 Fb 3
4% 9 i✓
S 4= o
AUTO LICENSE NO. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot he determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claime legally due li ing, t credits
end that no art of the sa a has been paid.
Date
0 NC V 12010
'BY....
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
364657 Richards, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/10/10 Reimb Mileage 10113 1119110 44.00
Total 44.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
364657 Richards, Jessica Allowed 20
In Sum of
44.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1081 -4 Reimb 4343000 44.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
18 -Nov 2010
X 4 Signature
44.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund